The Impact of OSCE on Stress and Academic Performance in Indonesian Health Sciences Students
DOI:
10.29303/jppipa.v12i5.12100Published:
2026-05-25Downloads
Abstract
The Objective Structured Clinical Examination (OSCE) is a high-stakes assessment that frequently triggers severe anxiety among medical and health sciences students, potentially hindering their academic success. While its evaluative rigor is well-documented, less attention has been paid to how structured preparation for OSCE can paradoxically mitigate psychological distress and foster better learning outcomes. This study aims to investigate the role of OSCE in reducing stress and enhancing academic performance among health sciences students in Indonesia. A quantitative approach with a descriptive correlational design was used to determine the relationship between OSCE implementation, stress levels, and students' academic achievement. The research sample consisted of health study program students at several universities selected purposively. The research instruments included a validated stress level questionnaire and academic grade data from OSCE results. The results showed a significant negative relationship between stress levels and OSCE scores, where reduced stress contributed to improved academic performance. The OSCE serves not only as a tool for evaluating clinical skills, but also as a learning mechanism for managing stress in high-pressure situations. The reduction in stress after the OSCE was more pronounced in students with high initial stress levels, highlighting the importance of psychological and academic preparation. Reducing stress levels was shown to have a significant impact on improving students’ performance during OSCEs, indicating the importance of stress management in supporting psychological well-being and academic success.
Keywords:
OSCE stress management health education academic performance psychological well-beingReferences
Abduh, M., Alawiyah, T., Apriansyah, G., Sirodj, R. A., & Afgani, M. W. (2023). Survey Design: Cross Sectional dalam Penelitian Kualitatif. Jurnal Pendidikan Sains Dan Komputer, 3(01), Article 01. https://doi.org/10.47709/jpsk.v3i01.1955
Al-Hashimi, K., Said, U. N., & Khan, T. N. (2023). Formative Objective Structured Clinical Examinations (OSCEs) as an Assessment Tool in UK Undergraduate Medical Education: A Review of Its Utility. Cureus, 15(5), e38519. https://doi.org/10.7759/cureus.38519
Antoniadou, M., Manta, G., Kanellopoulou, A., Kalogerakou, T., Satta, A., & Mangoulia, P. (2024). Managing Stress and Somatization Symptoms Among Students in Demanding Academic Healthcare Environments. Healthcare, 12(24), Article 24. https://doi.org/10.3390/healthcare12242522
Appuhamilage Uvini Tharumali Colonne, C. (2023). Students’ and Educators’ Perceptions of Competency-Based Assessments in Communication Sciences and Disorders Education in Canada—ProQuest. https://www.proquest.com/openview/ee0bd032f195a1e4c2b1f16687c491fa/1?pq-origsite=gscholar&cbl=18750&diss=y
Bandura, A., & Wessels, S. (1997). Self-efficacy. Cambridge University Press Cambridge. http://happyheartfamilies.citymax.com/f/Self_Efficacy.pdf
Bellido-Esteban, A., Beltrán-Velasco, A. I., Ruisoto-Palomera, P., Nikolaidis, P. T., Knechtle, B., & Clemente-Suárez, V. J. (2021). The Effect of Psychology Objective Structured Clinical Examination Scenarios Presentation Order on Students Autonomic Stress Response. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.622102
Biggs, A., Brough, P., & Drummond, S. (2017). Lazarus and Folkman’s Psychological Stress and Coping Theory. In The Handbook of Stress and Health (pp. 349–364). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118993811.ch21
Chan, M., Bax, N., Woodley, C., Jennings, M., Nicolson, R., & Chan, P. (2015). The first OSCE; does students’ experience of performing in public affect their results? BMC Medical Education, 15(1), 59. https://doi.org/10.1186/s12909-015-0343-0
Cömert, M., Zill, J. M., Christalle, E., Dirmaier, J., Härter, M., & Scholl, I. (2016). Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE)—A Systematic Review of Rating Scales. PLOS ONE, 11(3), e0152717. https://doi.org/10.1371/journal.pone.0152717
Damayanti, F. E., Wulandari, H. D., Soekardjo, & Wahyudi, U. A. (2024). Korelasi antara Kecemasan yang Dirasakan Mahasiswa Tingkat 1 dengan Nilai OSCE (Objective Structured Clinical Examination) di STIKES Banyuwangi. JURNAL PENDIDIKAN & PENGAJARAN (JUPE2), 2(2), Article 2. https://doi.org/10.54832/jupe2.v2i2.289
Duarte, C., Zakaria, H., Mahdi, E., Othman, S., & Ali, N. (2020). Correlation of Stress and Work Load in Dental Students During Clinical Academic Years. Hamdan Medical Journal, 13(1), 39. https://doi.org/10.4103/HMJ.HMJ_33_19
Ferreira, É. de M. R., Pinto, R. Z., Arantes, P. M. M., Vieira, É. L. M., Teixeira, A. L., Ferreira, F. R., & Vaz, D. V. (2020). Stress, anxiety, self-efficacy, and the meanings that physical therapy students attribute to their experience with an objective structured clinical examination. BMC Medical Education, 20(1), 296. https://doi.org/10.1186/s12909-020-02202-5
Firmansyah, M., Suhoyo, Y., & Rahayu, G. R. (2022). The determinant factors of medical students’ learning behavior in the national medical competency examination in Indonesia: A qualitative study. Frontiers in Education, 7. https://doi.org/10.3389/feduc.2022.952306
Gilani, S., Pankhania, K., Aruketty, M., Naeem, F., Alkhayyat, A., Akhtar, U., Chaudhary, M., & Sinha, S. (2022). Twelve tips to organise a mock OSCE. Medical Teacher. https://www.tandfonline.com/doi/abs/10.1080/0142159X.2021.1887465
Granja, N., Guerra, M. A., & Guerra, V. (2022, August 23). Give me a coffee break! Pilot study on improving exam performance and reducing student stress. 2022 ASEE Annual Conference & Exposition. https://peer.asee.org/give-me-a-coffee-break-pilot-study-on-improving-exam-performance-and-reducing-student-stress
Hastuti, E. A., Widianti, E., Siagian, I. M., & Septriyani, D. (2024). Self-Management Dengan Tingkat Stres Pada Mahasiswa Dalam Menghadapi Ujian Objective Structured Clinical Examination (OSCE). Jurnal Keperawatan ’Aisyiyah, 11(1), Article 1. https://doi.org/10.33867/sm58ry57
Juhász, Á., Sebestyén, N., Árva, D., Barta, V., Pártos, K., Vokó, Z., & Rákosy, Z. (2024). We need better ways to help students avoid the harms of stress: Results of a meta-analysis on the effectiveness of school-based stress management interventions. Journal of School Psychology, 106, 101352. https://doi.org/10.1016/j.jsp.2024.101352
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016
Kalantari, M., Zadeh, N. L., Agahi, R. H., Navabi, N., Hashemipour, M. A., & Nassab, A. H. G. (2017). Measurement of the levels anxiety, self-perception of preparation and expectations for success using an objective structured clinical examination, a written examination, and a preclinical preparation test in Kerman dental students. Journal of Education and Health Promotion, 6, 28. https://doi.org/10.4103/jehp.jehp_97_15
Kaligis, F., Ismail, R. I., Wiguna, T., Prasetyo, S., Indriatmi, W., Gunardi, H., Pandia, V., & Magdalena, C. C. (2021). Mental Health Problems and Needs among Transitional-Age Youth in Indonesia. International Journal of Environmental Research and Public Health, 18(8), Article 8. https://doi.org/10.3390/ijerph18084046
Kassabry, M. F. (2023). Evaluation of simulation using objective structured clinical examination (OSCE) among undergraduate nursing students: A systematic review. International Journal of Africa Nursing Sciences, 18, 100553. https://doi.org/10.1016/j.ijans.2023.100553
Kristina, S. A., Gustriawanto, N., Rokhman, M. R., Aditama, H., & Sari, I. P. (2018). Students’ first experience with Objective Structured Clinical Examination in a pharmacy school in Indonesia. Journal of Applied Pharmaceutical Science, 8,(9), 102–106. https://doi.org/10.7324/JAPS.2018.8915
Lazarus, R. S., & Folkman, S. (1986). Cognitive Theories of Stress and the Issue of Circularity. In M. H. Appley & R. Trumbull (Eds.), Dynamics of Stress: Physiological, Psychological and Social Perspectives (pp. 63–80). Springer US. https://doi.org/10.1007/978-1-4684-5122-1_4
Malau-Aduli, B. S., Jones, K., Saad, S., & Richmond, C. (2022). Has the OSCE Met Its Final Demise? Rebalancing Clinical Assessment Approaches in the Peri-Pandemic World. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.825502
McEwen, B. S., & Sapolsky, R. M. (1995). Stress and cognitive function. Current Opinion in Neurobiology, 5(2), 205–216. https://doi.org/10.1016/0959-4388(95)80028-X
Onwudiegwu, U. (2018). OSCE: DESIGN, DEVELOPMENT AND DEPLOYMENT. Journal of the West African College of Surgeons, 8(1), 1–22. https://europepmc.org/articles/PMC6398515
Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress on students in secondary school and higher education. International Journal of Adolescence and Youth, 25(1), 104–112. https://doi.org/10.1080/02673843.2019.1596823
Patrício, M. F., Julião, M., Fareleira, F., & Carneiro, A. V. (2013). Is the OSCE a feasible tool to assess competencies in undergraduate medical education? Medical Teacher, 35(6), 503–514. https://doi.org/10.3109/0142159X.2013.774330
Primanda, Y., Indarwati, F., Haris, F., & Sutrisno, R. Y. (2023). Nursing education institutions’ readiness to use online objective structured clinical examination scoring management system. Bali Medical Journal, 12(2), 2185–2190. https://pdfs.semanticscholar.org/a46a/11c339d7b3ad55c46a49a2cfb913cd158a5b.pdf
Sánchez-Conde, P., Beltrán-Velasco, A. I., & Clemente-Suárez, V. J. (2022). Analysis of the Objective and Subjective Stress Response of Students and Professors in Practical Nursing Exams and Their Relationship with Academic Performance. International Journal of Environmental Research and Public Health, 19(15), Article 15. https://doi.org/10.3390/ijerph19159121
Setyaningsih, D., Lestariningsih, & Nugroho, S. M. (2024). Pengaruh Konseling NLP (Neuro Linguistic Programming) Terhadap Tingkat Kecemasan Mahasiswa Kebidanan Selama Praktik Klinik. Jurnal Kesehatan, 13(1), Article 1. https://doi.org/10.46815/jk.v13i1.200
Sihombing, M. (2024). Pengaruh Mindfulness Terhadap Pengurangan Stres Pada Mahasiswa. Jurnal Review Pendidikan Dan Pengajaran (JRPP), 7(4), 15062–15067. https://doi.org/10.31004/jrpp.v7i4.36317
Taibu, E., Phuma, E., Mbakaya, B., Mhango, L., Bvumbwe, T., & Chipeta, M. (2024). Exploring Challenges Experienced by Nursing Students Regarding Objective Structured Clinical Examination in malawian Nursing Colleges: A Qualitative Phenomenology Study. Research Square. https://doi.org/10.21203/rs.3.rs-4959116/v1
Telaumbanua, K. (2024). Implementasi Bimbingan Konseling Untuk Menangani Stres Akademik Berbasis Kearifan Lokal Nias Pada Mahasiswa. HAGA : Jurnal Pengabdian Kepada Masyarakat, 3(2), Article 2. https://doi.org/10.57094/haga.v3i2.2344
Tjandra, S., Tsurayya, Ghina, Manik, A. V., Reddy, C., Kashyap, P., Nurisma, N. G., Sikdar, N., Nallam, S. R., Faiza, R. N., Dsouza, G. C., Pranowo, M. R., Sophia, L. P., & Almeira, V. (2024). Asian Medical Students’ Perspectives on Medical Education Curricula Standards: A qualitative research. Journal of Asian Medical Students’ Association, 11(1), Article 1. https://doi.org/10.52629/jamsa.v11i1.747
Vincent, S. C., Arulappan, J., Amirtharaj, A., Matua, G. A., & Al Hashmi, I. (2022). Objective structured clinical examination vs traditional clinical examination to evaluate students’ clinical competence: A systematic review of nursing faculty and students’ perceptions and experiences. Nurse Education Today, 108, 105170. https://doi.org/10.1016/j.nedt.2021.105170
Wilby, K. J., Govaerts, M. J. B., Dolmans, D. H. J. M., Austin, Z., & van der Vleuten, C. (2019). Reliability of narrative assessment data on communication skills in a summative OSCE. Patient Education and Counseling, 102(6), 1164–1169. https://doi.org/10.1016/j.pec.2019.01.018
Yang, J., Long, R., & Chen, H. (2022). Decision-making dynamic evolution among groups regarding express packaging waste recycling under different reference dependence and information policy. Waste Management, 138, 262–273. https://www.sciencedirect.com/science/article/pii/S0956053X21006486
License
Copyright (c) 2026 Ely Purnamasari, Sholeh Hidayat, Nurul Anriani

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).






